2006, 06-07 Permit App: 06002214 Mechanical Fixtures Permit enter
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11707 E Sprague Ave,Suite 106 L
pSpokane Valley,WA 99206 PERMIT NUMBER a T'
...... .Valley (509)688-0036 FAX:(509)688-00`7 PERMIT FEE:It5e--'-'
Community Development v,mtiv.spokaneval1ev.ore ,
Mechanical Permit Application 0 Commercial 211Residential
SITE ADDRESS: '
Building Owner
Name: CJ i i'tcv11 D fila a Phone: c53 - 100Fax:
Address: GCiState:
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Name: `ri ' ,l l��,:7 Phone: 17._/Q.�f/ ..- Fax
Address: Rl 1 6it
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License No: T 47-1/
7' // /.) / f,/ City Business Lie:
Contact " ' :. '
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Name: Phone:
DESCRIPTION OF WORK #OF UNFS X COST = TOTAL AMOUNT
1 _ FUEL BURNING APPLIANCE Equal to or less than 100,000 i X $12.00 = 12'0°
2 FUEL BURNING APPLIANCE More than 100,000 X $15.00 =
3 UNLISTED APPLIANCE(Additional Fee) Equal to or less than 400,000 X $50.00 =
4 UNLISTED APPLIANCE(Additional Fee) More than 400,000 X $100.00 =
5 USED APPLIANCE(WSEC min.AFUE rating) Equal to or less than 400,000 X , $50.00 =
6 USED APPLIANCE(WSEC min.AFUE rating) More than 400,000 X $100.00 =
7 BOILER/REFRIGERATION 1-100M BTU X $12.00 =
B BOILER/REFRIGERATION 101-50DM BTU X $20.00 =
9 BOILER/REFRIGERATION 501-1,0DOM BTU X $25.00 =
10 BOILER/REFRIGERATION 1,001-1,750M BTU X $35.00 =
11 BOILER/REFRIGERATION More than 1,750M BTU X $60.00 = ,
12 , GAS LOG,GAS INSERT,GAS FIREPLACE X , $10.00 =
13 RANGE X $10.00 =
14 DRYER • X $10.00 =
15 FUEL BURNING WATER HEATER X $10.00 =
16 MISC.FUEL BURNING APPLIANCE X $10.00 =
17 GAS PIPING(each outlet) ► X $1.00 = 1,i6
16 DUCT SYSTEMS X $10.00 =
19 VENTILATING FANS X $10.00 -
20 AIR HANDLER(DOES NOT include ducting) Equal to or less than 10,000 CFM X $12.00 =
- 21 AIR HANDLER(DOES NOT include ducting) Greater than 10,000 CFM X . $15.00 =
22 EVAPORATIVE COOLERS X $10.00 =
23 TYPE I HOOD X $50.00 =
24 TYPE II HOOD X $10.00 =
25 HEAT PUMP/AIR CONDITIONER 0-3 TON X $12.00 =
26 AIR CONDITIONER 3-15 TON X $20.00 =
27 AIR CONDITIONER _ 15-30 TON X $25.00 =
26 AIR CONDITIONER 30-50 TON• X $35.00 =
29 AIR CONDITIONER More than 50 TON X $60.00 =
3D LPG STORAGE TANK X $10.00 =
31 WOOD OR PELLET STOVE/INSERT X $10.00 =
32 WOOD STOVE-FREE STANDING _ X $25.00 =
33 REPAIR&ADDITIONS X $15.00 =
34 VENTILATION SYSTEMS X $12.00
_35 VENTILATION MECHANICAL EXHAUST X $12.00 =
36 INCINERATOR-RESIDENCE X $19.00 =
37 INCINERATOR-COMMERCIAL X $22.00 =
METHOD OF PAYMENT: SUBTOTAL i 3,n0
OCASH 0 CHECK 0 VISA 0 MC EXPIRES: PROCESSING FEE $35.00
CARD#: VIN: TOTAL PERMIT FEE DUE: 00
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AUTHORIZED SIGNATURE:
REVISED 8!26/05